Speech outcomes after palatal closure in 3–7-year-old children

Rezaei, Parisa; Poorjavad, Marziyeh; Abdali, Hossein

doi:10.1016/j.bjorl.2020.08.005

Cited by 8 publications

(7 citation statements)

References 16 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The indication for speech therapy follows a similar curve in all 3 cleft groups with a peak during the years immediately preceding school enrollment. While the high need for speech therapy in patients with clefting of the hard and soft palate is in accordance with numbers found in literature (Sell et al, 2001; Rezaei et al, 2020), the only slightly lower numbers in patients without affection of the palate is surprising. In 2021, Smarius et al published their results of a prospective study evaluating the need for speech therapy in a cohort of patients with CL only, finding that in 24% of patients speech therapy was indicated and concluding that there is no higher risk of speech problems compared to the general population (Smarius et al, 2021).…”

Section: Discussionsupporting

confidence: 89%

Continuous Multidisciplinary Care for Patients With Orofacial Clefts—Should the Follow-up Interval Depend on the Cleft Entity?

Sander

Grau

Kloss‐Brandstätter

et al. 2021

The Cleft Palate Craniofacial Journal

View full text Add to dashboard Cite

Objective The multidisciplinary follow-up of patients with cleft lip with or without palate (CL/P) is organized differently in specialized centers worldwide. The aim of this study was to evaluate the different treatment needs of patients with different manifestations of CL/P and to potentially adapt the frequency and timing of checkup examinations accordingly. Design We retrospectively analyzed the data of all patients attending the CL/P consultation hour at a tertiary care center between June 2005 and August 2020 ( n = 1126). We defined 3 groups of cleft entities: (1) isolated clefts of lip or lip and alveolus (CL/A), (2) isolated clefts of the hard and/or soft palate, and (3) complete clefts of lip, alveolus and palate (CLP). Timing and type of therapy recommendations given by the specialists of different disciplines were analyzed for statistical differences. Results Patients with CLP made up the largest group ( n = 537), followed by patients with cleft of the soft palate ( n = 371) and CL ± A ( n = 218). There were significant differences between the groups with regard to type and frequency of treatment recommendations. A therapy was recommended in a high proportion of examinations in all groups at all ages. Conclusion Although there are differences between cleft entities, the treatment need of patients with orofacial clefts is generally high during the growth period. Patients with CL/A showed a similarly high treatment demand and should be monitored closely. A close follow-up for patients with diagnosis of CL/P is crucial and measures should be taken to increase participation in follow-up appointments.

show abstract

Section: Discussionsupporting

confidence: 89%

Continuous Multidisciplinary Care for Patients With Orofacial Clefts—Should the Follow-up Interval Depend on the Cleft Entity?

Sander

Grau

Kloss‐Brandstätter

et al. 2021

The Cleft Palate Craniofacial Journal

View full text Add to dashboard Cite

show abstract

“…Centers that routinely perform palatal surgery between 6 and 12 months report impressively low VPD and non-oral CMA rates below 10% (eg, Jackson et al, 2013;Hortis-Dzierzbicka et al, 2014;Sell et al, 2015;Baillie & Sell, 2020). Higher rates of VPD and non-oral CMAs have been reported in children and adults who receive palatal surgery after 12 months of age (Hardin-Jones & Jones, 2005;Nyberg et al, 2014;Pasick et al, 2014;Willadsen et al, 2017) and in those who receive delayed palatal surgery (eg, Ysunza et al, 1998;Baek et al, 2017;Rezaei et al, 2020;Lou et al, 2021). Although CMAs may develop in response to VPD prior to surgery, they persist as learned behaviors following surgery and can be difficult to eradicate for some individuals even with speech therapy.…”

Section: How Many Children Produce Them?mentioning

confidence: 99%

Non-Oral Compensatory Misarticulations Revisited

Hardin-Jones

Chapman

2021

The Cleft Palate Craniofacial Journal

View full text Add to dashboard Cite

Non-oral compensatory misarticulation patterns are often associated with the speech of children with cleft palate. Despite their saliency, the etiology, frequency, and treatment of these misarticulations have not been studied extensively. The purpose of this commentary is to review what we know about these atypical patterns of articulation and address clinical assumptions regarding their etiology and treatment.

show abstract

“…1 Poorer results, particularly articulation disorders were in the range of 71.18 to 83.8% after primary palatoplasty. [2][3][4] Speech defects, particularly articulation disorders, result in negative daily life communications and social relationships. Articulation disorders require a prolonged period of speech intervention in children with CP AE L. [2][3][4][5] Speech therapy is a critical concern during the preschool period to prepare children to be able to participate in society and establish social relationships in school.…”

Section: Introductionmentioning

confidence: 99%

“… 1 Poorer results, particularly articulation disorders were in the range of 71.18 to 83.8% after primary palatoplasty. 2 3 4 …”

Section: Introductionmentioning

confidence: 99%

“…[2][3][4] Speech defects, particularly articulation disorders, result in negative daily life communications and social relationships. Articulation disorders require a prolonged period of speech intervention in children with CP AE L. [2][3][4][5] Speech therapy is a critical concern during the preschool period to prepare children to be able to participate in society and establish social relationships in school. 6 The shortage of speech and language therapists (SLPs) in some developing and underdeveloped countries, especially in low-and middle-income countries (LMICs) is still critical.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Speech Task Force and Quality of Life after Surgery in Children with Cleft Lip and Palate: Limitation of Professionals

Prathanee,

Thanawirattananit,

Surit

et al. 2024

Arch Plast Surg

View full text Add to dashboard Cite

Background Shortage of speech and language therapists results in lack of speech services. The aims of this study were to find the effectiveness of a combination speech therapy model at Level IV: General speech and language pathologist (GSLP) and Level V: Specific speech and language pathologist (SSLP) in reduction of the number of articulation errors and promotion the quality of life (QoL) for children with cleft palate with or without cleft lip (CP ± L). Methods Fifteen children with CP ± L, aged 4 years 1 month to 10 years 9 months (median = 76 months; minimum:maximum = 49:129 months) were enrolled in this study. Pre- and post-assessment included oral peripheral examination; articulation tests via Articulation Screening Test, Thai Universal Parameters of Speech Outcomes for People with Cleft Palate, Hearing Evaluation, The World Health Organization Quality of Life Brief_Thai (WHOQOL-BRIEF-THAI) version questionnaire for QoL were performed. Speech therapy included a 3-day intensive speech camp by SSLP, five 30-minute speech therapy sessions by a GSLP, and five 1-day follow-up speech camps by SSLP that provided four 45-minute speech therapy sessions for each child. Results Post-articulation revealed statistically significant reduction of the numbers of articulation errors at word, sentence, and screening levels (median difference [MD] = 3, 95% confidence interval [CI] = 2–5; MD = 6, 95% CI = 4.5–8; MD = 2.25, 95% CI = 1.5–3, respectively) and improvement of QoL. Conclusion A speech task force consisting of a combination of Level IV: GSLP and Level V: SSLP could significantly reduce the number of articulation errors and promote QoL.

show abstract

Speech outcomes after palatal closure in 3–7-year-old children

Cited by 8 publications

References 16 publications

Continuous Multidisciplinary Care for Patients With Orofacial Clefts—Should the Follow-up Interval Depend on the Cleft Entity?

Continuous Multidisciplinary Care for Patients With Orofacial Clefts—Should the Follow-up Interval Depend on the Cleft Entity?

Non-Oral Compensatory Misarticulations Revisited

Speech Task Force and Quality of Life after Surgery in Children with Cleft Lip and Palate: Limitation of Professionals

Contact Info

Product

Resources

About